Cynthia Stanford, M.ED., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100.0092654 Issued in VT

Practice address

60 Proctor Ave
S Burlington, VT 05403-6134

Phone

(802) 448-2175

NPI assigned

Aug 15, 2016

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roots and Branches, PLLC

  • Marriage & Family Therapist
  • S Burlington, VT
  • NPI 1316638299
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1861947293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PROCTOR AVE",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROCTOR AVE",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036134",
            "telephone_number": "802-448-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "CYNTHIA",
        "credential": "M.ED., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0092654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Senesac, PHARMD
• Steven Sobel, DC
• Spinal Care & Decompression Center
• Spinal Care and Decompression Center (Spinal Care Center Physical Therapy)
• Aerwen E Stagers
• Emily B Stone, MS, R.D.
• Lara M. Stone, D.P.M.
• University of Vermont Medical Center Inc
• University of Vermont Medical Center Inc (University of Vermont Medical Center Home Dialysis)
• Vermont Association for the Blind

• Marriage & Family Therapist in S Burlington, VT
• Providers in S Burlington, VT by specialty
• Marriage & Family Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.